| NPI | 1487830154 |
|---|---|
| Doing Business As | LAKE MEAD CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MORTENSEN President 702-255-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2008-01-12 |
| Last Update Date | 2008-01-12 |